Trinity Tots (3-5 years old) Vacation Bible School 2022 Registration Form

Parent/Guardian Information

Name

Other Parent/Guardian Name

This address will receive a confirmation email

Other Parent/Guardian E-Mail

Your Phone

Other Parent/Guardian Phone

Address

Emergency Contact

Emergency Contact Name

Phone

Relationship to Family

Child Information

Child's Name

Child's Birthdate

Age

T-Shirt Size

Any Health Concerns/Allergies/Medications?

Early Bird Drop Off

To alleviate potential transportation issues for working parents, volunteers will be available by 7:45am to provide a gathering space for children whose parents need to drop them off early. If you need to take advantage of this service, please mark below. Thanks!

Do you need early bird drop off?

Yes No

What time will you need to drop them off?

Parental Permission

By entering my name in the box below, I am providing my digital signature on this form and give my child(ren) permission to attend VBS, participate in all associated events both on-site and off, and authorize the Trinity staff to seek necessary medical treatment in case of injury or illness. I also give Trinity Lutheran Church and Luther Crest permission to use any photograph/video of my child taken at VBS in the future promotion of Trinity or Luther Crest.

Electronic Signature

Date Completing Form

Anything else we should know or be aware of?

VBS Donation

Due to the generosity of a designated gift by the Sutter Family a fund has been created so every youth can attend VBS free of charge. If your family would like to make a donation to that fund to continue the gift for many years to come you are more than welcome to do so!

VBS Donation

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Trinity Tots (3-5 years old) Vacation Bible School 2022 Registration Form

Description

Please Fix the Following